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Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…used for type 1 myocardial infarction are fulfilled. The temporal relationship to stent implantation should always be specified. Coronary arterial thrombi are predominantly platelet rich…

Acute coronary syndrome: quick reference for loading doses and time targets

…dangerous differential diagnoses [1,2]. STEMI and other ECG patterns suggesting acute coronary occlusion are time dependent conditions. The decision on immediate reperfusion is based…

Chronic Kidney Disease as a Cardiovascular Risk Factor

…and kidney specific pathways. Diabetes, hypertension, dyslipidaemia, obesity, smoking and increasing age are common risk factors for CKD and CVD. Hypertension and renal disease are…

Secondary Hypertension: When and How to Investigate

…to elevated blood pressure Other cardiovascular risk factors and relevant comorbidities Evidence of hypertension mediated organ damage Existing cardiac, cerebrovascular, or renal disease The possibility…

Interpreting NT-proBNP and BNP in Clinical Decision-Making

…The biologically active natriuretic peptides promote vasodilation, renal sodium and water excretion, and reduction of cardiac fibrosis through activation of the natriuretic peptide A receptor…

Upper gastrointestinal bleeding: quick reference

…intestinal transit. Coffee ground vomiting is less specific than fresh haematemesis and can also be seen when the bleeding is slow or has stopped. The…

Complications of Coronary Angiography and Vascular Access Management

…angiography and PCI, and is strongly influenced by the clinical setting, vascular access route, anticoagulation, renal function, age, comorbidity, and procedural complexity. Overall incidence and…

Digoxin: Dosing, Therapeutic Range and Toxicity Management

…severe renal impairment increase the likelihood of digitalis intoxication even at therapeutic doses. Diagnostics Electrocardiography and Electrophysiology Electrocardiographic evaluation of patients receiving digoxin reveals specific…

Resistant Hypertension: Evaluation and Treatment

…Other guideline formulations similarly define resistant hypertension as blood pressure above goal despite three or more antihypertensive drugs from different classes at maximally tolerated doses…

Left Main Coronary Artery Disease: Revascularisation Strategy

…and functional limitation Evidence of heart failure Haemodynamic stability Diabetes status Renal dysfunction and other important comorbidities Frailty Liver cirrhosis Cognitive function and life expectancy…

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